In short

J2427 is the HCPCS Level II code for injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg. CMS assigns NDCs for Invega Hafyera and Invega Trinza to it. One billing unit is 1 mg. The Medicare Part B payment limit is $13.246 per unit (October 1, 2026 through December 31, 2026).

Code

CMS HCPCS file
HCPCS codeJ2427
Billing unit1 mg
Descriptor
Injection, paliperidone palmitate extended release (invega hafyera, or invega trinza), 1 mg
Short descriptor
Inj, invega hafyera/trinza
Code set
HCPCS Level II, maintained by CMS
Effective
Jul 1, 2023

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Medicare Part B payment limit

CMS ASP file
Payment limit per unit$13.246
Per1mg
Coinsurance20%

Effective October 1, 2026 through December 31, 2026. Payment allowance limits subject to the ASP methodology are based on 2Q26 ASP data. A payment limit is not a coverage decision; the Medicare contractor decides coverage. CMS ASP pricing files

Units and claim line

Units = dose given ÷ 1 mg. For example, 100 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

NDCs billed under J2427

CMS’s ASP NDC–HCPCS crosswalk (effective October 1, 2026 through December 31, 2026) assigns 6 NDCs to J2427 for Invega Hafyera and Invega Trinza. Billing units per package are CMS’s figures for this code’s unit.

NDCs assigned to J2427 in the CMS ASP crosswalk
DrugNDC (11-digit)LabelerPackageBilling units per package
Invega Hafyera50458-0611-01Janssen Pharmaceuticals, Inc.3.51,092
Invega Hafyera50458-0612-01Janssen Pharmaceuticals, Inc.51,560
Invega Trinza50458-0606-01Janssen Pharmaceuticals, Inc.0.875273
Invega Trinza50458-0607-01Janssen Pharmaceuticals, Inc.1.315410
Invega Trinza50458-0608-01Janssen Pharmaceuticals, Inc.1.75546
Invega Trinza50458-0609-01Janssen Pharmaceuticals, Inc.2.625819

J2427: common questions

Is J2427 a CPT code?
No. J2427 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What NDCs are billed under J2427?
CMS's ASP crosswalk for October 1, 2026 through December 31, 2026 lists 6 NDCs under J2427, for Invega Hafyera and Invega Trinza. The table on this page shows each one with its billing units per package.
What is the Medicare payment limit for J2427?
$13.246 per 1mg, effective October 1, 2026 through December 31, 2026, from CMS's Part B drug payment limit file. Multiply by the units billed for the allowed amount before deductible and coinsurance. It is not a coverage decision.
What is one billing unit of J2427?
One unit of J2427 is 1 mg, as stated in the code's descriptor. Units to report = dose given ÷ 1 mg. J-code billing units.

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